You're using an outdated browser and can not see this website's design. We've allowed you to access all the content however, so you're not missing anything other than the pretty wrapper. Please download any browser that supports standards to view the full site.
1407 E. Michigan Ave., Jackson 517-784-1142 770 Riverside Ave., Suite 101, Adrian 517-263-3310
CHAPTER XXIII - Elbow-Joint Amputations
Amputations in or immediately below the elbow joints, leaving stumps so short they cannot be availed of in controlling the artificial elbow joint, require artificial arms of special construction.

The presence of the condyles, or bony prominences, affords an opportunity for fitting that will secure firmness without employing shoulder straps, or, if not dispensing with them entirely, simplifying them very materially.

SHORT RADIAL STUMPS. - Cut S 1 represents an amputation a little below the elbow joint, but very close to it, leaving a stump so short that it cannot be utilized. A suitable arm is illustrated in Cuts S 2 and S 3. This arm is especially designed for an amputation through the elbow joint.

CONSTRUCTION. - The forearm is made of wood, shaped to the contours and dimensions of the natural arm, excavated to receive the stump properly and to reduce weight, covered with rawhide to obtain strength, and finished in enamel. The hand is of rubber, attached to the forearm by either of the methods heretofore described. The palm is provided with a locking arrangement that will hold implements of utility. The elbow joint is of the ginglymoid pattern and is operated by a flexion strap under control of the opposite shoulder. The elbow joint is provided with a locking arrangement that will hold the arm in flexed position when desired. The socket receives the stump, which, on account of its enlarged extremity, is inserted from the front and held by lacing. Cut S 3 represents an artificial arm practically the same as an S 2, except that the stump is placed in the socket from the rear instead of the front. Cut S 4 represents the same with the hand slipped off and a hook inserted in the end of the forearm. This can only be done when the arm is so constructed that the hand is connected with the forearm by the spindle attachment. In style S 3 the upper section is made entirely of leather, formed on a cast of the stump, modified as the conditions require.

ARMS WITHOUT HANDS. - Peg arms for elbow-joint amputations are found useful for laboring purposes. Cut S 5 gives the simplest form. It is without articulation at the elbow. It receives the stump from the front and is held in place by lacing; it may be made of wood, leather, or aluminum. When made of wood it is strengthened with rawhide and enameled. The end of the socket is provided with a wrist plate for holding useful implements. When the conditions of the stump require, a suspender is provided which rests on top of the shoulder and held in place by a strap passing around the body under the opposite arm. The arm, as shown in the cut, is usually made slightly bent at the elbow and approximately the length of the opposite arm. When elbow-joint motion is required it becomes the same as S 4, without a hand.

Suspenders are the same as those used on arms for above-elbow stumps.

Comment from follow-up survey
I especially appreciated the work with the insurance company and ensuring coverage first. Plus you were great about ordering the night splints for my feet/ankles. Thank You.